| NPI | 1821587742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NC 2021-01980) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 238738) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2023-08-23 |